Narrow Results Clear All
- Communication Improvement 6
- Culture of Safety 1
- Education and Training 4
- Error Reporting and Analysis 7
- Human Factors Engineering 13
- Legal and Policy Approaches 2
- Logistical Approaches 2
- Quality Improvement Strategies 5
- Specialization of Care 2
- Teamwork 1
- Clinical Information Systems 13
- Computerized Adverse Event Detection
- Device-related Complications 3
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 2
- Medical Complications 2
- Medication Errors/Preventable Adverse Drug Events 14
- Surgical Complications 1
- Transfusion Complications 1
- Internal Medicine 14
- Surgery 1
- Nursing 1
- Pharmacy 13
- Health Care Executives and Administrators 15
Health Care Providers
- Nurses 1
- Non-Health Care Professionals 10
- Patients 6
Search results for "Computerized Adverse Event Detection"
- Newspaper/Magazine Article
- Computerized Adverse Event Detection
Hamill SD. Pittsburgh Post-Gazette. July 10, 2011:A6.
This newspaper article reports how a missed test result alert led to a disease-free transplant patient being infected with hepatitis.
ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.
This article discusses problems associated with overreliance on barcode system audio confirmation and suggests strategies to improve the reliability of electronic medication administration systems.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17.
Highlighting dangers presented by alarm fatigue, modification, and miscommunication, this article discusses strategies to reduce such incidents.
Kowalczyk L. Boston Globe. February 13–14, 2011.
ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.
This article discusses a case of data entry error in an electronic prescribing system, explains the contributing factors, and provides recommendations to prevent such errors.
Dolan PL. American Medical News. July 19, 2010.
This news article reveals Leapfrog Group survey findings that more than 50% of computerized order entry systems do not trigger order error alerts as they should.
Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
This article describes how one health care system used a multi-event analysis process to identify medication errors, implement system-level improvements, and reduce adverse events.
PA-PSRS Patient Saf Advis. December 2009;6:109-114.
This article discusses adverse incidents submitted to the Pennsylvania reporting system involving neuromuscular blocking agents and shares strategies to minimize errors with this type of high-alert drug.
ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.
This piece describes the dangers of "borrowing" dispensed medications as a workaround in the presence of pharmacy delays and shares strategies to eliminate the practice.
ISMP Medication Safety Alert! Acute Care Edition. June 19, 2008;13:1-3.
This article addresses a drug–device interaction in which patients receiving a certain peritoneal dialysis solution may have falsely elevated blood glucose levels when measured with point-of-care blood glucose monitors.
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.
This article analyzes a lethal error involving TPN (total parenteral nutrition), in which dosing and compounding were based on incorrect order entry, and provides recommendations to prevent similar errors.
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3.
This article describes a wrong-patient drug error that was prescribed using a computerized prescriber order entry (CPOE) system and presents recommendations for improvement in the prescribing, dispensing, and administration phases of the process.
ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2.
This article discusses the problems associated with bypassing computer alerts and provides recommendations to improve alert systems.
Graham J, Dizikes C. Chicago Tribune. June 27, 2011.
This newspaper article reports on an order entry error that resulted in a 60-fold overdose and raised concerns about the safety of electronic medication data systems.
Landro L. Wall Street Journal. May 10, 2011:D3.
This newspaper article reports on efforts to reduce errors in emergency medicine, including improving physician–nurse communication, adopting timeouts before discharge, and using trigger systems.
Burns J. Managed Care Magazine. May 2011;20:23-28.
This article explores the challenges to improving patient safety and discusses strategies for reducing medical errors.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
This article discusses how several health care organizations used health information technology to improve organizational transparency.
Landro L. Wall Street Journal. January 18, 2010;D5.
This column highlights the work of the Institute for Safe Medication Practices and other groups to raise awareness of medication safety issues, including an initiative to distribute error reports to practitioners, called the National Alert Network for Serious Medication Errors.
Landro L. Wall Street Journal. January 21, 2009:B7.
This newspaper article reports on efforts to increase physicians' use of electronic prescribing and describes benefits such as error reduction and cost savings.